In Person Training/Computer-Based Training

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0990-0379 can be found here:

Documents and Forms

Document Name Document Type
SAG Customer Satisfaction Survey In Person.docx Other-Survey
SAG Customer Satisfaction Survey CBT.docx Other-Survey
Survey Cover Letter to In-Person Participants.docx Survey Cover Letter to In-Person Participants IC Document
0990-0379_Clearance Submission - SAG.docx 0990-0379_Clearance Submission - SAG IC Document
Survey_Cover_Letter_to_CBT_Participants.docx Survey Cover Letter to CBT Participants IC Document

Information Collection (IC) Details

IC Title:	In Person Training/Computer-Based Training	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey			SAG Customer Satisfaction Survey In Person.docx		Yes	No	Fillable Printable
Other-Survey			SAG Customer Satisfaction Survey CBT.docx		Yes	No	Fillable Printable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 330	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	330	0	0	0	0	0
Annual IC Time Burden (Hours)	28	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Survey Cover Letter to In-Person Participants	Survey Cover Letter to In-Person Participants.docx	05/04/2012
0990-0379_Clearance Submission - SAG	0990-0379_Clearance Submission - SAG.docx	05/09/2012
Survey Cover Letter to CBT Participants	Survey_Cover_Letter_to_CBT_Participants.docx	05/10/2012

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.